WQ0005150_Monitoring - 11-2016_20161219

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page / of 2 -
Permit
Permit No.: W00005150
Facility Name: North End Elementary
County: Person
Month: November Year: 2016
irrigation
Field Name: 1
Field Name: 2
Field Name:
Field Name:
Did occur
Area (acres): 1.1
Area (acres): 1.76
Area (acres):
Area (acres):
at this facility?
Cover Crop: Green Ash
Cover Crop: Green Ash
Cover Crop:
Cover Crop:
❑� YES ONO
Hourly Rate (in): 0.15
Hourly Rate (in): 0.3
Hourly Rate (in):
Hourly Rate (in):
Monthly Loading:
12 Month Floating To I ta�(In)_
0.00
Annual Rate (in):
26
Annual Rate (in):
18.2
Annual Rate (in)
Annual Rate (in):
Weather
Freeboard
- Field Irrigated?
DYES
ENO
Field Irrigated?
AYES
ENO
Field Irrigated?
EYES
'❑No
Field Irrigated?
DYES
ENO
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0.30
0.10
Monthly Loading:
12 Month Floating To I ta�(In)_
0.00

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page E�`of
Did the application rates exceed the limits in Attachment B of your permit?
❑� Compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
ECompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on ,all sites as specified in your permit?
DCompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑� Compliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
ECompliant
❑Non -Compliant
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and
describe the corrective
action(s) taken. Attach additional sheets if necessary.
''Prson County Schools
Signature Date
-Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Paul J. Phillips
Permittee:
Dr. Larry Cartner
Certification No.: 986029
Signing Official: Dr. Larry Cartner
Grade: SI Phone Number: 336-599-0223
Signing Official's Title: Superientendent
Has the ORC changed since the previous NDAR-1? ❑yam 2jNo
Phone Number: i3 -599-0� Permit Exp.: 5/31/20
Super ntendent
r
''Prson County Schools
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617